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what's the unit of measure in healthcare?
metric system
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basic measure of distance
meter
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basic unit of weight
gram
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basic unit of volume
liter
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what number is the metric system based on?
10 and based on multiples of 10
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ounces in 1 gram
28 ounces
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method of measuring body temp
ferenheit
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measure of room temp
celcius
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convert C to F and F to C
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100, 500 and 1000 in roman numerals
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healthcare insurance provided to qualified people by federal government
medicare
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age to qualify for medicare
- 65+
- other medically qualified
- dialysis patients
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each test order for medicare has to have a ___
ICD-9
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what do you do if there is no match to an ICD-9?
- generate (ABN) advanced beneficiary notice.
- inform pt of medicare non-payment
- patient can sign or refuse the test
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the sequence of events that, when followed according to established and accepted standards for the procedure, will prevent injury or complications under normal circumstances.
standard of care
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do you, as a phlebotomist, need malpractice ins?
no, covered by institution as long as you're working within your scope of care
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shooting pain, in arm radiating to the fingers. Pins and needles at site or below the site is a sign of?
nerve damage
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how do you avoid nerve damage?
- always choose median cubital if possible, then cephalic.
- or draw lower on AC for bacilic to avoid nerve
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cherry red blood spurting, pumping into the tube indicates?
arterial nick
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how to avoid arterial nick
- choose median cubital
- avoid fishing
- avoid transfiction
- if you can't feel pulse, avoid area
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what are indications of blowing a blain or subcutaneous hemorrhage?
- swelling at site
- pooling of blood under skin
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vertigo is indicated by
dizziness on standing
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list risks of phlebotomy
- arterial nick
- death
- nerve damage
- subcutaneous hemorrhage
- vertigo
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came to law in 1996
adopted in 2001
sweeping legislation surrounding privacy of healthcare information
HIPPA
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ways to ID outpatient
name and DOB
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ID inpatient
ID bracelet, verify confirmation
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consequences for delays in processing specimen
- loose 8% glucose per hour
- can lead to misdiagnose or medication management
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Spin ____ tubes series ASAP
red series
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special handling for ABC
use ice
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consequence of violating 1 minute rule
cause increase of all cell counts, decrease K, Ca, and bilirubin
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how long is too long for fasting
14 hours
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fasting 14 hours increases
- bilirubin
- keytones
- triglycerides
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fasting 14 hours decreases
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consequences of inappropriate coordination of time of draw for blood tests
false appearance of over or under medication and could cause life threatening change in dosage
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probing increases _______ in blood
K, AST, ALT, and magnesium
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Probing/fishing decreases ____ in blood?
RBC, HCT,
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how many times does one reposition
once for students, twice for pro: Only when you know where to go
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list some things to do if a patient has syncope
- remove needle
- lower head
- raise feet if laying down
- breath deep and slow
- no driving for 30 min
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